Résumé :
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[BDSP. Notice produite par INIST JR0xKoet. Diffusion soumise à autorisation]. Objectives. This study sought to identify predietors of dental care use in HIV-infected women Methods. In a eross-sectional survey of IUV-infected women enrolled in the northern California site of the Women's Interagency HIV Study, dental care use and unmet need were assessed in relation to selected variables. Results. Among 213 respondents, who were predominantly Black and younger than 45 years. 43% had not seen a dentist and 53% (among dentate women) reported no dental cleaning in more than a year (although 67% had dental insurance coverage, mainly state Medicaid). Nine percent were edentolous. Arnong nonusers of dental care, 78% reported that they wanted care but failed to get it. Baniers included fear of and discomfort with dentists, not getting around to making an appointment, and not knowing which dentist to visit. Multivariate analysis showed that lack of past-year dental care was associated mainly with unemployment, a perception of poor oral health, and edentolisn. Conclusions. HIV-positive women appear to be underusing dental care services, Fear and lack of information regarding available resources, in addition to unemployment and perception of poor oral health, may be important barriers.
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